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JUL-28-2004 20�36 JUSTUS LUMBER 9529389441 P.02/02 <br />� , . <br /> Stc.13,0� RIGH7'S OF fTl'6 OF DATA • <br /> Subd.l. Typm f de�u. The ri�pd ot individwl on whom du d�!��d or eo be eiwed ehdi be oe ee �nth in thia�cction. <br /> Subd 2. 'on roqulnod to bo pivo�i�divi�l.An iodividual adced m eupplypelvate or�dorrosl eoneerniog himself chell be <br /> lafomxd of (a)thc md intendod usc of d�e requeerod dam wichin the colloain�imto agaky.pol lei�l'suW. . . or etatcwldo ayetan;(b) <br /> whcthcn c�may rofiuo or i k�a11y roquirad o0 ouyplY t6e requofted dna:(e)eoy lu�oam eo�6equanoe eriems[mm hia lying�rnsfi�ing to supply <br /> priva�vr co�ideaad ead(�t6o iaoeity of o�her pcnoa�or enada m,thorised br edta�fadmal4weo rmcivc �This�y„Qe�dWl <br /> nvt npply wheu aa iadivld I le oakod to eupply inveedgsdva dam,pi¢au�t 6o ee�iOq 13.8�,9ubd►vioion S,to a la eafu�ot of�ax. <br /> r <br /> inswctiom ieetead of • <br /> 5ubd.3.Ae�� oo dem by ladividwl.Upon t�equest m s�seponm'61e mtlboeiry,en individml eho11 be inC vv6e�er4e ia tbc aubjoct of <br /> starod dam an individ�b, d wluxLcr it ie clauificd ae pu6lic,priwu�coqiideed'sl,TJpon his furthee requeat,no 'vidud wLo ie nc�eubjcct of <br /> smrod priverc or public oo fadfvidualo�twp be�hown the dota wiefwue e�elp[�e ro him emd,if 6e de�m.e bc infonrbd oidte cornem aad <br /> menning uf dwc duto. on iodivl�ul hos 600n ohown du prrv�bo d�ta md info�ed of ro meanio�thc dan nat he disclotdd lo hrm for aix <br /> rnonthi eha�fter w►lae a pute ar retion punuaot�dw e�ctioa ia pmding vr ad�tiooal date on tho individuul he bean collecud ar croatcd.77ro <br /> rdponoi6lc authorlcy e6e11 rovidc mpicr of tho privato or public dete upon�oguqt by 16e iadividua(eubjeet of thc . 7'6o rcepone3le aut►ipri�y <br /> may requirc rhe raquaouoy to poy t6e ecp�ol eooq of inekin�,oa�tifyinB��ud du capde� <br /> Thotespodlb n�lryehellcomplylnunadakly,ifpor�ible.wfthmY�madop�aeuanttot6ua iviyion.vrwithmSvcdaysof <br /> �us ilnta of the�ac,uax,cx�l iog suaadaye,sun�.ea�ogat holiaayo,ff i�.oe oo�l�cn w noc po,aibla rr �onoL�with�Lc rcqursc <br /> within thaz rim�,hc aha11 e io�am tbe�ndividuel,aod moy heva an o�titional fivo days within which to comply v;th rcquce;cxciuding Sa�urdays, <br /> Sundays and logal holids , . <br /> Subd.d. Proa whetidoeoisnotqcours►eorwmpl�taMindividuelmaycanustduuccura�yoroony� i�nofpublwur�ivutednm <br /> �ronociaia�himtclf.To 'eo thir right an individual ehall notify iu writie�16e eeepoewiblo emhoeity deactibing the putun of du disegrx.�r�cnt Thc <br /> rapmuiblc authority ehall within 30 daye cilhcr. (a)anrcct the dau found w bc inaocureec or ineomplel�8uJ a�U�p�to nodfy pest rcoipicnta ef <br /> inamirsrc or incompkte includin�rocipien4nomad bythe indiv�ual;c+r(b)eo6fy the individuel thet6o bclicve�shc dsmc�ba corr�e6 Du1u�n <br /> Jiupum shall bc discloscd nly if tho individual's staumcnl of diwgrocment i�im:luded with thc discloacd dan, � <br /> ThC dolartniM' of thC r�ponNiblc wlhafiqr mey bc eppoelad puirumt to thc provieioiia of tho adminia�ive prooedurc oat��atin6 m <br /> e�loa�ed wa�s. <br /> DATA P'BNACY ADVi�ORY <br /> In accordancc th M.S.13.04,Subd.2,"Rights of subjects of daffi",we wauld like eo inf you that your request <br /> for a permit or liccn� from tho City of Orono or eny of its daperhQieats may require you tu rnish czrtaia privatc or <br /> confidential infarma' . <br /> You are noti5 t�at: <br /> l. The in tion you furnish wiU be used to detetolipe yotu qu�lificacian the permit or license <br /> reque . <br /> 2. You m rcfuse w eupply deta,but rofusal may roquire tt�at tho City deny the erinit ar license. <br /> 3. The i tion may be sharod with othor local, state or federal agenciea t rhe extent n�ssury to <br /> proces ehe permie or licen9e. <br /> 4. If yout ueeted permit or Ueense requir�a Council action ro approve,some i forma�lon may bccomc <br /> public. . <br /> 5. You e certain rights uader M.S. 13.04(eveilable upon nquest)to�eview p 'vate dete on yoursclt: <br /> 6, Your il nemc is 13ifCd ZO pi0CC86 th18 8ppI1C8b��'peiillit. <br /> SGN6 �C.QS LiA.U/l 6(Z � <br /> Ifint �ume r,.�e <br /> �� N� �b £. <br /> Addresi <br /> IMp�s �-�, 38�Z��l <br /> City 8t�te 7�p Phone <br /> i undernt�nd my W �s tad ove. <br /> Sleosbre <br /> 3a � <br />